SEARCHCOHORToncology, surgery

cohort·oncology, surgery, internal medicine, geriatrics, clinical trial·PMC10020046

Outcomes of a Multi-Modal Hospital-Associated Home-Based Cancer Prehabilitation Program

Annals of Rehabilitation Medicine · 2 authors, 1 centre

AI SUMMARY

FIDELITY 100%

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

“

TL;DR

This retrospective cohort study evaluated a home-based cancer prehabilitation program in 182 surgical oncology patients and found statistically significant improvements in functional capacity, psychological well-being, and quality of life that were sustained or further improved at 3 months post-operatively.

Full summary

222 CHARS

The mean duration of prehabilitation was 19.29 days. At 3 months post-operatively, functional gains were sustained (6MWT: p=0.964; STS: p=0.863; TUG: p=0.939) and HADS total score further improved by 2.06 points (p=0.003).

STUDY TYPE

cohort

SPECIALTY

oncology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10020046

Outcomes of a Multi-Modal Hospital-Associated Home-Based Cancer Prehabilitation Program

Annals of Rehabilitation Medicine

READ THE FULL PAPER

ABSTRACT

Abstract Objective To assess the impact of a “one-stop”, multi-modal, hospital-associated-home-based prehabilitation model, helmed by a small core team, on newly diagnosed gastrointestinal and urological cancer patients planned for surgery. Methods This is a retrospective study in a tertiary public hospital, involving all newly diagnosed gastrointestinal and urological cancer patients planned for surgery. The primary outcome measure was the 6-minute walk test (6MWT). Other outcomes included physical, psychological and quality-of-life measures, and patient satisfaction surveys, taken at baseline, pre-operatively (post-prehabilitation), and at 3 months post-operatively. Results When comparing the baseline to pre-operatively (post-prehabilitation), there was a statistically significant improvement in the 6MWT (21.52 m, p<0.001), 30-Second Sit to Stand test (STS) (1.08 repetitions, p<0.001), Timed Up and Go test (TUG) (0.83 seconds, p=0.014) and Hospital Anxiety and Depression Scale (HADS) (total score 1.77, p<0.001). These were sustained (6MWT: 0.22, p=0.964; STS: 0.08 repetitions, p=0.863; TUG: 0.04 seconds, p=0.939) or further improved (HADS total score 2.06, p=0.003) at 3 months post-operatively. There was also a statistically significant improvement in the EuroQol-5 dimension health score (health-related quality-of-life measure) from baseline to 3 months post-operatively (7.04 points, p=0.001), with more than 90% overall patient satisfaction reported. Conclusion Prehabilitation applied via our model resulted in significant improvements in functional capacity, psychological and quality-of-life outcomes, sustained at 3 months post-operatively, and is a feasible and effective approach that is well-received by our patients. Keywords: Cancer, Prehabilitation, Delivery of healthcare, Integrated

CITATION EXPORT

Kah Meng Kwok, San San Tay. Outcomes of a Multi-Modal Hospital-Associated Home-Based Cancer Prehabilitation Program. Annals of Rehabilitation Medicine. (2023). https://doi.org/10.5535/arm.22126

AUTHORS

2 · 1 CENTRES

Kah Meng Kwok, San San Tay

1 Department of Rehabilitation Medicine, Changi General Hospital, Singapore